Physician Billing Certified Coder I

Valley Children’s Healthcare • Madera, CA

5d • $31 - $45

About The Position

The Certified Coder I reviews provider documentation and performs coding functions. The role requires a solid understanding of the professional billing workflow and may assist with general billing duties, including claim edits, claim processing, claim rejections, data entry, and queries. The coder communicates with physicians about documentation issues related to code assignment and provides feedback to physicians and the physician billing entity about variances between hospital and physician CPT coding as needed. The role also helps identify and resolve incorrect claims issues, drafts letters to coordinate appeals, and performs other billing-related duties as assigned by the manager.

The position requires a high school diploma or GED and CPC certification. Related experience or an RHIT certificate, outpatient surgery coding experience, and anesthesiology coding experience are preferred. The role is scheduled for 40 hours per week, with eight daily hours. Compensation is listed as $30.82–$44.80; the final amount depends on skills and experience.

Requirements

• High school diploma or GED.
• CPC certification from AAPC (American Academy of Professional Coders).
• Knowledge of medical terminology and anatomy.
• Knowledge of CPT, ICD-10, ASA, and HCPCS coding.
• Ability to work independently with limited supervision.
• Skill in gathering and reporting information.
• Ability to multitask and prioritize needs to meet timelines.

Nice To Haves

• At least two years of related experience or an RHIT certificate.
• At least two years of ICD-10 CM/PCS and CPT-4 coding experience with outpatient surgery medical records.
• At least one year of anesthesiology coding experience.

Responsibilities

• Review provider documentation and perform coding functions.
• Assist with general billing duties, including claim edits, claims processing, claim rejections, data entry, and queries.
• Communicate with physicians about documentation issues related to code assignment.
• Provide feedback to physicians and the physician billing entity regarding variances between hospital and physician CPT coding as needed.
• Help identify and resolve incorrect claims issues.
• Draft letters to coordinate appeals.
• Perform other billing-related duties as assigned by the manager.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED